Clinical QA Supervisor
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Job Description
Clinical QA Supervisor ensuring physician reports are accurate and supervising QA staff for a healthcare company. Managing file review processes and staff performance in a remote work environment.
Responsibilities:
- Oversight of the review of Physician reports and accompanying medical records to ensure completeness, accuracy, and consistency with medical evidence
- Ensure appropriate QA staff are assigned to each file and supervise staff
- Manage the File Review Board ensuring timely and accurate file processing
- Assist in identifying & correcting staff performance including promotions, discipline, coaching, and termination
- Ensure all QA staff adhere to and meet job duties
- Actively participate in issue resolution with QA, physicians, account managers, and other related parties
- Act as the liaison regarding the process or status of the file
- Other duties & special projects as assigned
Requirements:
- An Associate’s Degree or Bachelor’s Degree is preferred
- RN licensure required
- Medical peer review or healthcare industry knowledge required
- Business experience in a healthcare and/or insurance setting is preferred
- Exceptional communication skills with a clear understanding of company business lines
- Ability to apply critical thinking, manage time efficiently and meet specific deadlines
- Computer literacy and typing skills are essential.
Benefits:
- medical, dental, and vision coverage for you and your family
- voluntary life insurance options for you, your spouse, and your children
- other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
- basic life insurance, short-term disability, and long-term disability coverage at no cost
- generous paid time off policy
- 401k plan with a company match
- Apple equipment and a media stipend for remote workspace
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